Quality RN- North and Central Florida Position Available In Volusia, Florida

Job Description:

Become a part of our caring community and help us put healthfirst The Stars Improvement, Clinical Professional (RN) is responsiblefor the development, implementation and management oversight of thePrimary Care Organization’s Stars Program in the North Floridamarket. The Stars Improvement, Clinical Professional (RN) worksassignments involving moderately complex to complex issues wherethe analysis of situations or data requires an in-depth evaluationof variable factors. T he Stars Improvement Clinical Professional(RN): Collaborates with market leadership , and quality improvementteam to develop and implement programs designed to increase thepatient outcomes . W ork is performed within the associate’s assigned centerlocations and in collaboration with existing Quality ImprovementCoordinators and Professionals and in close partnership with marketand center teams . The Stars Improvement, Clinical Professional(RN) represents the scope of provider relationships across thefollowing areas: Quality/clinical management and population health HEDIS and Stars performance Operational improvements Financial performance and incentive programs Data sharing and connectivity Documentation and coding Additional areas related to provider performance, memberexperience, market growth, provider experience and operationalexcellence Use your skills to make an impact Required Qualifications Licensed Registered Nurse (RN) without restriction inFlorida 5+ years of clinical nursing experience Proven work experience as a HEDIS Nurse or similar role inhealthcare quality improvement Strong knowledge of HEDIS/Stars/CMS Excellent presentation and communication skills, both oral andwritten Strong relationship building skills as this is aprovider-facing role Strong attention to detail with a focus on process andquality Comprehensive knowledge of Microsoft Office applicationsPreferred Qualification Bachelor’s D egree in Nursing 3+ years of managed care experience 3+ years of case management experience Bilingual; English andSpanish pre ferred, not required Additional Information Hours for the role are: Monday-Friday 8am-5pm local time zone This role is based within the provider office with regularrotation through each center within the assigned territory.

Driver’s License, Reliable Transportation, Insurance This role ispart of Humana’s Driver safety program and therefore requires anindividual to have: a valid state driver’s license, carry insurance in accordance with the state minimum requiredlimits, or $25,000/$25,000/10,000 whichever is higher and a reliable vehicle. Tuberculosis (TB) screening : This roleis considered member facing and is part of Humana’s Tuberculosis(TB) screening program. If selected for this role, you will berequired to be screened for TB. Interview Format As part of ourhiring process for this opportunity, we will be using aninterviewing technology called HireVue to enhance our hiring anddecision-making ability. HireVue allows us to quickly connect andgain valuable information from you pertaining to your relevantskills and experience at a time that is best for your schedule.

Scheduled Weekly Hours 40 Pay Range The compensation range belowreflects a good faith estimate of starting base pay for full time(40 hours per week) employment at the time of posting. The payrange may be higher or lower based on geographic location andindividual pay will vary based on demonstrated job related skills,knowledge, experience, education, certifications, etc. $71,100 – $97,800 per year This job is eligible for a bonus incentive plan. This incentiveopportunity is based upon company and/or individual performance.

Description of Benefits Humana, Inc. and its affiliatedsubsidiaries (collectively, “Humana”) offers competitive benefitsthat support whole-person well-being. Associate benefits aredesigned to encourage personal wellness and smart healthcaredecisions for you and your family while also knowing your lifeextends outside of work. Among our benefits, Humana providesmedical, dental and vision benefits, 401(k) retirement savingsplan, time off (including paid time off, company and personalholidays, volunteer time off, paid parental and caregiver leave),short-term and long-term disability, life insurance and many otheropportunities.

About Us About Conviva Senior Primary Care:

Conviva Senior Primary Careprovides proactive, preventive care to seniors, including wellnessvisits, physical exams, chronic condition management, screenings,minor injury treatment and more. As part of CenterWell SeniorPrimary Care, Conviva’s innovative, value-based approach means eachpatient gets the best care, when needed most, and for the lowestcost. We go beyond physical health – addressing the social,emotional, behavioral and financial needs that can impact ourpatients’ well-being. About CenterWell, a Humana company:

CenterWell creates experiences that put patients at the center. Asthe nation’s largest provider of senior-focused primary care, oneof the largest providers of home health services, and fourthlargest pharmacy benefit manager, CenterWell is focused onwhole-person health by addressing the physical, emotional andsocial wellness of our patients. As part of Humana Inc. (

NYSE:

HUM), CenterWell offers stability, industry-leading benefits, andopportunities to grow yourself and your career. We proudly employmore than 30,000 clinicians who are committed to putting healthfirst – for our teammates, patients, communities and company. Byproviding flexible scheduling options, clinical certifications,leadership development programs and career coaching, we allowemployees to invest in their personal and professional well-being,all from day one. Equal Opportunity Employer It is the policy of Humana not todiscriminate against any employee or applicant for employmentbecause of race, color, religion, sex, sexual orientation, genderidentity, national origin, age, marital status, geneticinformation, disability or veteran status . It is also the policyof—Humana—to take affirmative action to employ and to advancein employment, all persons regardless of race, color, religion,sex, sexual orientation, gender identity, national origin, age,marital status, genetic information, disability or protectedveteran status, and to base all employment decisions only on validjob requirements. This policy shall apply to all employmentactions, including but not limited to recruitment, hiring,upgrading, promotion, transfer, demotion, layoff, recall,termination, rates of pay or other forms of compensation andselection for training, including apprenticeship, at all levels ofemployment.